Profee Coding Consultant (E / M Leveling, Cardiology & Mammography)

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format.

Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.

By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.

What We're Looking For :

The Provider Practice Coding Consultant role is an opportunity to make a significant impact in the field of medical coding. You will provide essential consulting services and educational support, guiding healthcare professionals on improved coding practices. Collaborating closely with key stakeholders such as clients and healthcare leaders, you'll meet and exceed customer expectations through identifying and proposing solutions, and being a responsible and reliable teammate. This role offers a unique opportunity to play a pivotal role in elevating coding quality, ensuring compliance, and optimizing service outcomes in both hospitals and alternative care settings.

Claim edit experience is required; Must be proficient in resolving claim edits related to E / M leveling, Cardiology, and Mammography. A detail-oriented professional with strong analytical skills, capable of identifying and resolving complex coding edits efficiently and accurately to ensure timely and compliant claim processing.

What You Will Do :

Review medical records and assign precise codes to ensure accurate coding aligned with client needs (CPT, ICD-10-CM, ICD-10 procedures, ICD-10-CM and ICD-10 PCS, HCPCS).

Conduct data quality reviews of records to assess compliance with official coding and documentation guidelines.

Communicate professionally with co-workers, management, and hospital staff regarding clinical and reimbursement issues.

Demonstrate strong written and verbal communication skills

Identify documentation improvement opportunities and coding issues

Use VPN access to ensure productive and flexible task completion

Uphold Datavant and HIM Division policies, promoting a culture of compliance and operational efficiency.

Track continuing education credits, maintaining a high standard of professional expertise.

Attend mandatory sponsored in-service and educational meetings, ensuring alignment with industry best practices for continual improvement.

Adhere to the American Health Information Management Association's code of ethics, upholding professional standards and integrity.

What You Need to Succeed :

1+ year of coding experience.

AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC).

Strong written and verbal communication skills, adeptness in remote work, and exceptional time management skills.

Experience in computerized encoding and abstracting software.

Required to take and pass annual Introductory HIPAA examination and other assigned testing to be given annually

What We Offer :

Full Benefits including a 401k Savings Plan

Access to 20-24 free CEUs per year, provided by Datavant, to support your continuous professional development

Compensation for AAPC / AHIMA dues

Company-provided equipment including computer, monitor, mouse, etc

Comprehensive training led by a credentialed professional coding manager

Exceptional service-style management and mentorship (we're in this together!)

To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and / or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and / or religion.

This job is not eligible for employment sponsorship.

Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here () . Know Your Rights () , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.

At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.

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